Using Technology to Create Community Based dservice Programs November 11, 2010 Greg Wellems OPEN MINDS Institute What is Imagine! Established in 1963 in Boulder County, Colorado, United States Community Centered Board (CCB) Variety of Supportive Services 85% Funding from Medicaid Provided support services to 2,500 people in 2008 1
About Imagine! The Mission of Imagine! is to create and offer innovative support services to people of all ages with cognitive, developmental, physical, and health related needs so they may live fulfilling lives of independence and quality in their homes and communities. US Supportive Services are Changing Care is becoming increasingly complex Caregivers need more information People are living longer Wellness Promotion Reimbursement Policies Consumer/Family Involvement Health Professional Shortage 2
Find People with the Knack Leveraging Opportunity Product Development/Customer Base Research and Development/Stable Organization Across Service Realms/Similar Service Needs Families/Demand Management Internal D.I.G s/staff Tenure and Development Change to Survive Improve Consumer Services/Supports Assess Service/Support Needs FacilitateCommunication/Involvement Families Improve Organizational Efficiency /IT IQ Coordinate Information Assess/Evaluate DSP (Direct Service Professional) Research and Development Design/Develop New Products Demonstrate Success/Failure Create New Service Models Address Waiting Lists Establish/Develop New Partnerships Social Ventures 3
The goal of the Imagine! SmartHome: Through the application of technology, we will improve the quality and efficiency of supportive services for individuals with developmental and other disabilities in a permanently affordable, cost effective, and energy efficient i community setting. http://imaginesmarthomes.org Long Term Goal Through the application of technology, we will improve access and availability of supportive services for individuals with developmental and other disabilities so that they may lead fulfilling lives in their homes and communities. 4
Participatory Process Consumer/Family Involvement Design Selection Process Outline Expectations House Guidelines Consumer/Family Satisfaction Technology Assessment/Evaluation Areas of Technology Consumer Specific Supportive Services Family Communication and Access Operational Management and Line Staff (DSP) Support and Information Environmental Home Management and Monitoring Systems 5
Partners 6
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Consumer/Family Specific Universal Interface UMPC Environmental Control System Communication VOIP RFID, IR and GPS Capable Teaching and Prompting Systems Family Information Systems Operational SaaS Model Management Interface Browser Based Employee Time Tracking DSP Interface Browser Based Automate Documentation Incident Trending Care Plans Billing/Utilization Multiple Platform Integration LMS Family Access/Portal A P S T CARE S 8
Variety of Remote Monitoring Systems Cameras PTZ Fixed Units Motions Sensors Detect Falls/Proximity Security/ Health and Safety Sensors Doors/Windows - Alarms GPS- Community RFID Specific Location Environmental Control Data - Trends SaaS Models Create a Support Network Data Rich Environment Data System Informed Communities of Care 9
Transforming Data into Information Staff Members Staff Sensors Log Portal Use Staff Members Alerts & Notifications Live View Supports Summary Performance Metrics Consumers Sensors Alerts Support Network Live View Historic Trends Health information Social information Profiles Alert Preferences CARE System Managers Global Perspective Client Overview Employee Overview Managers Integrated Alert System 10
Making Alerts Meaningful Who, What, Where, When Customizable Insightful A P S T CARE S Consumer Summary Information Summary and Documentation Hub * Metrics * Communication * Quick Documentation * A P S T CARE S 11
Engaging the Family and Support Network Sense of Connection alleviates concerns Transparency engages families as members of the support network. Opportunities to contribute provide a sense of belonging and purpose. 12
Web-Based manage records from a central llocation Intuitive User Interface Improved compliance with Medication Administration 75% reduction of medication administration errors Reduces staff training by 18 hours per residence Pharmacy Interface Case Study 190 consumers 16 Staffed Sites/3 Group Homes/90 Foster Care Residences This organization has experienced 12% growth in their residential program for the last 6 years. During that time the nursing headcount has remained flat increasing the nursing/caonsumer ratio from 1:27 to 1:56 Quality Assurance audits showed a 48% decrease in Medication errors Cost of Ownership: for 1$ spend on MedSupport saved $ 15.5 Headcount # Rate Savings Details Nurses 5 FTE $30/hr 16 hrs/nurse/mth 960 hrs saved= $28,800 or 1 nurse PTE or 1 Med Tech FTE Administrative Staff 4FTE $18/ hr 2842 hrs/ yr in 2842 hrs saved = $51,156 156 increase productivity New Staff/ month 20 $15/hr 11hrs/staff 11 hrs training time saved per staff= $39,600 Total Savings $131,112 Yearly MedSupport Subscription $8460 13
Energy Management Energy Efficiency Intelligent Monitoring Data Mining to Create Usage Profiles Create and Optimize Load Profiles Integrate Adaptive Technology with GridAgents Technology Changing Static to Dynamic Consumer Actions Direct Care Interactions Billing for Reimbursement Notification and Prompting Health/Wellness Family Involvement 14
Current and Potential Research Working with Colorado WIN Partners Identified 31 areas of research Quality of Life Effectiveness of services Provide Cost and Energy Savings Improved Health and Safety Funded through Grants Areas of Development Consumer Assessment Integrating Multiple IT Platforms DSP Training Product Development and Assessment Adaptive Equipment Behavioral Supports Behavioral Patterns Recognition through Energy Usage Social Networking Capturing Life History 15
Greg Wellems - Gwellems@imaginecolorado.orgorg SmartHome - http://imaginesmarthomes.org FaceBook http://www.facebook.com/pages/ima gine-smarthomes/86609388388 Twitter http://twitter.com/imaginecolorado 16